CHARLES DREW HEALTH CENTER, INC.
NPI: 1962089391
· OMAHA, NE 68104
· Community Health Clinic/Center
· NPI assigned 03/24/2021
$246K
Total Medicaid Paid
Provider Details
| Authorized Official | JACKSON, TARSHA (CHIEF FINANCIAL OFFICER) |
| Parent Organization | CHARLES DREW HEALTH CENTER, INC. |
| NPI Enumeration Date | 03/24/2021 |
Related Entities
Other providers sharing the same authorized official: JACKSON, TARSHA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
236 |
$45K |
| 2023 |
762 |
$162K |
| 2024 |
381 |
$40K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
549 |
527 |
$115K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
526 |
463 |
$110K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
57 |
55 |
$12K |
| 99215 |
Prolong outpt/office vis |
27 |
27 |
$6K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
13 |
12 |
$3K |
| 90619 |
|
13 |
12 |
$21.84 |
| 3008F |
|
194 |
176 |
$0.36 |